MISS MARY COLLEEN MACK LCPC
NPI 1851682181
Counselor - Mental Health in Decatur, IL
About Miss Mary Colleen Mack Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS MARY COLLEEN MACK LCPC (NPI 1851682181) is an individual mental health provider in Decatur, Illinois, licensed in Illinois (180007722) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Mary Colleen Mack Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Mack's NPI number?
The NPI number for Mary Mack is 1851682181. It was assigned to this individual provider in the NPPES registry on April 20, 2011.
Where is Mary Mack located?
Mary Mack practices at 151 N Main St, Decatur, IL 62523. The listed phone number is (217) 362-6262.
What is Mary Mack's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mary Mack enrolled in Medicare?
Yes. Mary Mack is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mary Mack was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Miss Mary Colleen Mack, LCPC · NPI 1851682181
Mental Health provider in Decatur, Illinois. Individual provider, active in the CMS NPPES registry since April 20, 2011.
## Identity
- **NPI:** 1851682181 (Entity type: Individual)
- **Enumerated:** April 20, 2011
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 180007722 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 151 N MAIN ST, Decatur, IL 62523-1206
- **Phone:** (217) 362-6262
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** September 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1851682181) · Data from the CMS NPPES public registry.